2022 Volume 47 Issue 6 Pages 750-755
Hepatocellular carcinoma (HCC) commonly metastasizes to the lungs, bones, and lymph nodes, while cecal metastasis from HCC is rare. We report the case of an 83-year-old man who had undergone surgery for HCC 10 years earlier and presented to us with a cecal metastasis. He was transported to our emergency room with a history of melena. Colonoscopy was performed, which revealed the cecal tumor. A tumor biopsy revealed that the tumor was malignant, and we performed ileocecal resection with lymphadenectomy. Histopathology of the resected specimen revealed findings consistent with HCC. We considered this as being a hematogenous metastasis of the cecum from the liver, because intraoperatively, there was no evidence of peritoneal dissemination or tumor(s) on the serosal surface, and histopathology revealed no evidence of malignancy in the lymph nodes. At present, 8 months after the surgery, the patient remains alive.
